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Complex Care Programs and Transitional Services


Complex Care Programs and Services

Intensive Post-Acute Rehabilitation

Individuals entering rehabilitation are always unique, but their primary objective is typically the same – a return to health, home and what’s important in life, as soon as possible. At Touchpoints Rehab, part of the iCare Health Network, we understand.

Our innovative, personalized program is designed to accelerate the recovery process, so that patients can Get Well, Live Well and Be Well, faster, better and with fewer challenges than any traditional rehabilitation program. These programs are designed to optimize therapy, promote recovery, and provide ongoing quality of life for patients experiencing chronic and high acuity medical conditions. 

What is Complex Care?

Touchpoints Rehab is a leader in this field. The Complex Care program uses a team of healthcare providers including nursing, respiratory and other staff to closely monitor a patient’s health status and facilitate safe transitions from setting to setting. This team will guide care from the hospital to the skilled nursing facility and into the home ensuring a smooth transition from one to the next. You will often see the same nurse or team member in the hospital, in the facility and following up after discharge to ensure success and avoid readmission to the hospital.

The Complex Care team works with physician guidance and alongside APRNs, Physician’s Assistants and the entire staff of the skilled nursing facility. The team focuses additional focus and resources on patients with complicated medical conditions who are at risk for frequent hospital admission.

Complex Care Team

  • Transitional Care - Heart Failure Nurse
  • Regional Clinical Director
  • Care Transitions Respiratory Therapist
  • Multi-disciplinary clinical team
  • Consulting physician specialists, pulmonologists, PAs and APRNs

Addressing Frequent Hospitalizations

The program also addresses repeat hospitalizations by applying frequent lab work and assessment, integrated specialty care including pulmonary/respiratory therapy and sleep medicine, specialist consultation, clinical partnerships and more.

For patients with multiple hospitalizations the team will address their general state of health and wellness and improve their daily functionality. This will get them back home where they want to be and slow the tide of re-hospitalizations.
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Complex Care Clinical Programs

Program Highlights

Some patients who have been hospitalized following these conditions may be encouraged to stay in a post-acute facility to regain their strength. Our network partnerships ensure that our patients receive rehabilitation services in close collaboration with their medical team within the hospital networks. The key features of this unique approach include: 

  • The Touchpoints Rehab team has been trained by the hospital network team. The clinical team follows their established protocols.
  • Touchpoints Rehab has experienced physicians and physician extenders.
  • The Touchpoints Rehab team includes a dedicated Transitional Care Nurse who follows caseload patients through the course of their care, including after discharge home and provides additional, continuous clinical over- sight and support. 
  • The hospital and Touchpoints Rehab teams remain in continuous communication, working together to ensure a smooth transition.
  • The hospital team remains informed on the progress of patients’ post-acute stays on a daily basis and continuing through discharge home. 
  • Once discharged, patients are reconnected with their primary care provider.
  • Touchpoints Rehab staff are skilled in the delivery of all IV treatments and modalities.  

Program Benefits

  • Consultations and daily communication with the hospital team ensure continuity of care and optimal treatment decisions.
  • Careful oversight of progress and a quieter, more personal environment are highly conducive to rapid improvements.
  • Individually paced rehab programming enables faster recovery, stabilization and restoration of strength.
  • Ongoing specialty evaluations
  • Diagnosis-specific education for you and your family
  • Healthy menus tailored to your diagnosis.
  • Weight monitoring
  • Physical, occupational and speech therapies
  • Customized care planning
  • Home support and discharge planning
  • Weekly rounds by hospital practitioners
  • IV Lasix, Bumex, Dobutamine and Milrinone therapies
  • Weekly lab value monitoring
  • Touchpoints Rehab locations in Bloomfield, Manchester, East Windsor and Farmington.

For more information, please call (860) 812-0788, email or visit us online at www.touchpointsrehab.com

 

News & Updates

Discover the latest from our blog

  • MissionCare at Holyoke, Parkville Care Center, Touchpoints at Bloomfield and Touchpoints at Manchester were honored with the 2025 Bronze – Commitment to Quality Award by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL). The awards were presented during the Elevating Excellence: National Quality Awards Ceremony at the Delivering Solutions 25 AHCA/NCAL Convention & Expo in Las Vegas.
  • Touchpoints at Manchester was presented with the Bronze – Commitment to Quality Award by AHCA/NCAL at the Delivering Solutions 25 convention in Las Vegas. The center is recognized for its Touchpoints Rehab program, a hospital partnership model that emphasizes evidence-based therapy, rapid recovery, and seamless transitions of care. With strong outcomes in orthopedic and cardiac rehabilitation, Touchpoints at Manchester has established itself as a trusted referral partner in the region. The Bro…
  • Touchpoints at Bloomfield was honored with the Bronze – Commitment to Quality Award at the AHCA/NCAL Annual Convention & Expo. Touchpoints at Bloomfield is distinguished by its American Heart Association-certified Heart Failure Program, including dedicated private suites for specialized cardiac recovery. The program integrates advanced clinical collaboration and resident-centered care, ensuring high-quality outcomes for individuals with complex health needs. The Bronze Award review commend…
  • Parkville Care Center received the Bronze – Commitment to Quality Award from AHCA/NCAL, presented during the Elevating Excellence Award Ceremony in Las Vegas. Parkville Care Center is home to specialized programming such as its Hispanic Culture Program, Memory Care Unit, Limb Loss Program and soon to be opened on-site dialysis unit, offering a full spectrum of care for residents with unique and complex needs. Its programming serves as a vital resource in the Hartford community, supporting ac…
  • MissionCare at Holyoke was recognized with the Bronze – Commitment to Quality Award during the AHCA/NCAL Convention & Expo. MissionCare at Holyoke has developed a specialized model of care for individuals that are difficult to place in traditional nursing home settings through iCare Health Network’s MissionCare Health Program, in addition to comprehensive long term care services. This mission-focused approach provides structure, accountability, and quality care for a complex resident…
  • Chris Wright, former Chief Executive Officer and current Chairman of iCare Health Network, was today elected Chair of the Board of Governors of the American Health Care Association (AHCA) at the AHCA/NCAL “Delivering Solutions 2025” Convention & Expo in Las Vegas. Wright, who co-founded iCare Management, now known as iCare Health Network, and has spent nearly four decades in leadership within the long-term and post-acute care field, has been a consistent voice for advancing access to hig…
  • September is recognized as National Recovery Month, a time to honor the resilience, healing, and hope of individuals on the journey of recovery. Throughout the month, iCare Health Network care centers marked the occasion with meaningful celebrations, activities, and events that brought residents and staff together in support of strength and community.
  • Every year on September 18th, National HIV/AIDS and Aging Awareness Day shines a light on the unique challenges faced by older adults living with HIV. With improved treatment and earlier diagnoses, many individuals are living longer, healthier lives. Today, more than half of people living with HIV in the United States are over the age of 50. This makes it more important than ever to focus on specialized care, stigma reduction, and supportive services that meet the needs of an aging population.
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